STEPHEN B SIEFFERMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

NOT RENEWED

Business

First Name

STEPHEN B

Last Name

SIEFFERMAN

Business Name

STEPHEN B SIEFFERMAN

Original Issue Date

06/11/1985

Effective Date

12/06/2021

Expiration Date

09/30/2024

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/04/2025